HomeMy WebLinkAboutRP 84-02; Carcoa Inc.; Redevelopment Permits (RP)/fl^PLICATlOW
REQUEST
• zone Change
•(General Plan Amendment
•Tentative Tract Map
•Planned Unit Development
•Major Condominium Permit
•Minor Condoninium Permit
•Master Plan
•Major Condominium Conversion
•Major Redevelopment Permit
(checOc other boxes if appropriate)
BfMinor Redevelopment Permit
•Precise Development Plan
•Specific Plan
• Site Development Plan
• Conditional Use Permit
•Variance
•Planning Commission Determination
•Special Use Permit
•Administrative Variance
Conplete Description of Project (attach additional sheets if necessary)
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Legal Description (complete) 0tr^(o-2S'9^ s^^^^ TMr^et^s WL f fjz- ^^c ^ //z/m Cot-
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General Plan
Proposed (General Plan Proposed Zone Site Acreage
2
Owner Applicant
Mailing Address
Name (Print or Type)
Mailing Address
^0 'ho:^ \V<?laO
City and State Zip Telephone City and State Zip Telephone
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I CERTIFY THAT I AM THE OWNER'S REPRESENTATIVE
AND THAT ALL THE ABOVE INFORMATION IS TRUE
AND CORRECT TO THE BEST OF MY KNCWLEDGE.
I CERTIFY THAT I AM THE LEGAL OWNER AND
THAT ALL THE ABOVE INFORMATION IS TRUE
AND CORRECT TO THE BEST OF MY KNCWLEDGE.
DATE SIGNATORE ^oU^ DATE
Date ;^llcation Rec'd
Jived xBy
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Staff Assic^ne^
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If after the information have submitted has been re\^gwed, it is determined
that further information required, you will be so ad^^P^d.
APPLICANT: C"^^ C^A
Name (individual, partnership, joint venture, corporation, syndication)
Business Address
Telephone Mumber
AGENT:
Name
Business Address
Telephone Nuaber
MEMBERS: (^Af^^ 7\
Name '(individual, partuier, joint Home Address
venture, corporation, syndication)
Business Address
Telephone Number Telephone Nuraber
Nama Eome Address
Business Address
. Telephone Nuaber Telephone Number
(Attach more sheets if necessary)
I/We declare under penalty of perjury that the information contained in this dis-
closure is true and correct and that it will remain true and correct and may be*
relied upon as being true and correct until amended.
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